In COVID-19 Patients Supported with Extracorporeal Membrane Oxygenation, Intensive Care Unit Mortality Is Associated with the Blood Transfusion Rate
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Le résumé fourni par la source
Background: The COVID-19 pandemic markedly increased the number of patients with infection-related acute respiratory distress syndrome who required extracorporeal membrane oxygenation (ECMO) and multiple blood transfusions. This study aimed to assess a potential correlation between the daily rate of transfused blood products and the intensive care unit (ICU) outcome of ECMO-supported COVID-19 patients. Methods: Data were retrieved from the electronic databases of three Israeli tertiary care centers. All COVID-19 patients treated with ECMO for >3 days in these centers between July 2020 and November 2021 were included in the analysis. Results: The study incorporated 106 patients [median age 49 (17–73) years]. The median numbers of ECMO days and daily transfused packed red blood cell (PRBC) units were 20.5 (4–240) and 0.61 (0–2.82), respectively. In multivariate analysis, age ≥50 years was an independent factor for ICU mortality [odds ratio (OR) 4.47). In ECMO-supported patients for <38 days, transfusion of ≥0.85 units/day was associated with higher ICU mortality compared to that observed in patients transfused with <0.85 PRBC units/day (OR = 5.43; p < 0.004). Transfusion of ≥0.5 units/day combined with ECMO support of ≥38 days (OR = 17.9; p < 0.001) conferred the highest mortality risk. Conclusions: Three-quarters of patients <50 years old and half of patients ≥50 years were successfully discharged from ICU. Higher daily transfusion rates were associated with significantly increased ICU mortality, irrespective of ECMO duration. Reduced blood transfusion may improve the survival of these patients. This approach could also contribute to the measures taken to address the challenges of blood shortages occurring during pandemics and other global or national emergencies.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- In COVID-19 Patients Supported with Extracorporeal Membrane Oxygenation, Intensive Care Unit Mortality Is Associated with the Blood Transfusion Rate
- Date Crossref
- 04/12/2024
- Éditeur
- MDPI AG
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Technion – Israel Institute of Technology pays non établi dans la noticeUniversité ou école supérieure
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Rambam Health Care Campus pays non établi dans la noticeÉtablissement de santé
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Ben-Gurion University of the Negev pays non établi dans la noticeUniversité ou école supérieure
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Maastricht University Medical Centre Department of Cardio-Thoracic Surgery pays non établi dans la noticeOrganisme public
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Istanbul University-Cerrahpaşa pays non établi dans la noticeUniversité ou école supérieure
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Assaf Harofeh Medical Center pays non établi dans la noticeÉtablissement de santé
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Ariel University pays non établi dans la noticeUniversité ou école supérieure
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Department of Cardiac Surgery pays non établi dans la noticeInstitution
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The Ruth and Bruce Rappaport Faculty of Medicine pays non établi dans la noticeUniversité ou école supérieure
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Blood Bank and Apheresis Unit pays non établi dans la noticeInstitution
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Soroka University Medical Center Transfusion Medicine and Apheresis Institute pays non établi dans la noticeUniversité ou école supérieure
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Cerrahpasa School of Medicine pays non établi dans la noticeUniversité ou école supérieure
Technion – Israel Institute of Technology, Rambam Health Care Campus et Ben-Gurion University of the Negev, avec 9 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.